Provider Demographics
NPI:1881841815
Name:PAK, YUNAH (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:YUNAH
Middle Name:
Last Name:PAK
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 262ND ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2245
Mailing Address - Country:US
Mailing Address - Phone:516-538-3189
Mailing Address - Fax:516-538-6527
Practice Address - Street 1:5721 262ND ST
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-2245
Practice Address - Country:US
Practice Address - Phone:516-538-3189
Practice Address - Fax:516-538-6527
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY047203OtherBOARD OF PHARMACY REGISTRATION